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Report #2851091

Received Jul 24, 2025

Died
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Male
Age
Age unknown
State
MI
Recovered
Not recovered
Vaccinated
—
Onset
—
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1——

Symptoms (1)

Myocarditis

Symptom narrative

myocarditis; This is a spontaneous report received from a Consumer or other non HCP. A male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: MYOCARDITIS (death, medically significant), outcome "fatal". It was unknown if therapeutic measures were taken as a result of myocarditis. The patient date of death was unknown. Reported cause of death: "myocarditis". It was not reported if an autopsy was performed. Additional information: It is Unknown if other vaccine same date, if other vaccine in four weeks, if other medications in two weeks. Covid vaccine caused myocarditis and death. AE resulted in: Patient died. if autopsy performed: Unknown. If treatment received: Unknown. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.; Reported Cause(s) of Death: myocarditis